Active NPI
Kristen Ann Walls, PHYSICIAN ASSISTANT
- Physician Assistant
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11087
- Practice address
- 5220 W University Dr Ste 290
McKinney, TX 75071-7429 - Phone
- (469) 678-8322
- Fax
- (469) 678-8311
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11087 | TX | Primary |
| Physician Assistant | 363A00000X | TX |
Addresses
Primary practice location
5220 W University Dr Ste 290
McKinney, TX 75071-7429
Mailing address
PO Box 3409
Pflugerville, TX 78691-3409
Phone (512) 202-3830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387287101 | Medicaid | TX |
Other names 1
- Kristen Ann Venhuizen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5575 Warren Pkwy
Suite 206
Frisco, TX 75034-4066
Phone (469) 287-7089
Hospital & facility affiliations
- Centric Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11087 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Provider Health PA | Current | Accepting new patients | |
| Premier Provider Health PA | Current | Accepting new patients | |
| Renovo Wound and Hyperbarics PLLC | Past | Accepting new patients | |
| Premier Provider Health PA | Past | Accepting new patients | |
| Han Pham Hulen MD PA | Past | Accepting new patients | |
| Premier Provider Health Utah PLLC | Past | Accepting new patients |
Locations
4316 James Casey St
Ste B-100
Austin, TX 78745
Phone (512) 444-4325
9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828
251 Westpark Way
Ste 300
Euless, TX 76040
Phone (817) 848-5880
1300 W Rosedale St
Ste A
Fort Worth, TX 76104
Phone (817) 377-4011
5575 Warren Pkwy
Ste 206
Frisco, TX 75034
Phone (469) 287-7089
5220 W University Dr
Ste 290
McKinney, TX 75071
Phone (469) 678-8322
4001 W 15th St
Ste 100
Plano, TX 75093
Phone (214) 473-7570
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Austin, TX
- NPI 1013397066
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1700032745
-
- Internal Medicine Physician
- Humble, TX
- NPI 1407304066
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1235280496
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lewisville, TX
- NPI 1629683602
-
- Internal Medicine Physician
- Ogden, UT
- NPI 1699311209
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sherman, TX
- NPI 1427185099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1609313139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3409",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786913409",
"telephone_number": "512-202-3830",
"fax_number": "512-354-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 W UNIVERSITY DR STE 290",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750717429",
"telephone_number": "469-678-8322",
"fax_number": "469-678-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "KRISTEN",
"middle_name": "ANN",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11087",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "387287101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "VENHUIZEN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.